Anuvasan Basti as an alternative to Snehapana: Pilot study trends
Journal name: Journal of Ayurveda and Integrative Medicine
Original article title: Anuvasan Basti in escalating dose is an alternative for Snehapana before Vamana and Virechana: Trends from a pilot study
The Journal of Ayurveda and Integrative Medicine (JAIM) is an open-access publication promoting collaboration between Ayurveda, traditional medicine, and biomedicine, publishing research on integrative health sciences
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Priyadarshani Arvind Kadus, Surendra M. Vedpathak
Journal of Ayurveda and Integrative Medicine:
(A monthly peer-reviewed publication)
Full text available for: Anuvasan Basti in escalating dose is an alternative for Snehapana before Vamana and Virechana: Trends from a pilot study
Year: 2014 | Doi: 10.4103/0975-9476.147445
Copyright (license): CC BY-NC-ND 4.0
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Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Anuvasan Basti as an alternative to Snehapana: Pilot study trends”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Basti:
Basti refers to a therapeutic oil enema in Ayurveda used for internal oleation. It serves as an alternative route for drug administration, particularly when oral intake is unsuitable. The study evaluated its effectiveness in providing similar Snehana symptoms, aiming to enhance patient compliance pre-Shodhana or detoxification processes.
2) Dosha (Dosa, Doṣa, Dosā, Doṣā, Ḍosā):
Dosha represents the fundamental biological energies in Ayurveda: Vata, Pitta, and Kapha. They govern physiological and psychological functions. The study involved patients with bahudosha or utklishta dosha, indicating an imbalance requiring purification. Understanding dosha is crucial for individualized treatment plans and assessing how therapies like Basti affect the body.
3) Snehana:
Snehana is the process of oleation or the administration of medicated fats in Ayurveda, essential for preparing patients for detoxification treatments like Vamana and Virechana. The primary goal is to achieve the proper Snehana symptoms, allowing for effective elimination processes. This study investigates the use of Anuvasana Basti as an alternative to traditional oral Snehana.
4) Study (Studying):
The study is a pilot clinical evaluation focusing on Anuvasana Basti as an alternative method for achieving Snehana, considering patient compliance issues with oral medicated fats. The implications of the study extend to optimizing preparatory processes for Shodhana therapies, enhancing the overall efficacy and acceptance of Ayurvedic practices.
5) Vamana (Vāmana):
Vamana is a therapeutic emesis treatment in Ayurveda, used for expelling excess Kapha dosha. It is part of the Shodhana therapy aimed at detoxifying the body. Preparing for Vamana involves proper Snehana, thus assessing whether Anuvasana Basti can serve as an effective preparatory alternative is significant for Ayurveda practitioners.
6) Utklesha (Utkleśa):
Utklesha indicates the state of perturbation of doshas, leading to symptoms like heaviness or stickiness related to digestion. In the study, varying degrees of Utklesha were observed, particularly during Basti administration, as symptoms suggestive of dosha movements towards their respective sites. This concept is integral to Ayurvedic diagnosis and treatment planning.
7) Rock salt:
Rock salt was utilized in conjunction with sesame oil for the Anuvasana Basti preparation, facilitating better absorption and effectiveness. In Ayurveda, rock salt has specific therapeutic properties and contributes to the overall quality of the oil enema, potentially enhancing its impact on dosha management and achieving desired Snehana symptoms.
8) Shodhana (Śodhana, Sodhana):
Shodhana, or detoxification, is a key aspect of Ayurvedic treatment aimed at eliminating accumulated toxins from the body. It involves various therapeutic methods, including Vamana and Virechana. Adequate Snehana is essential before initiating Shodhana, making the investigation into effective alternatives like Anuvasana Basti pivotal for clinical practice.
9) Salt (Salty):
Salt is a significant component in Ayurveda, used for its medicinal properties and as a dietary element. In the context of the study, rock salt enhanced the therapeutic efficacy of Anuvasana Basti by promoting better absorption of sesame oil into the body, thus aiding in achieving optimal Snehana symptoms.
10) Anuvasana (Anuvāsana):
Anuvasana refers specifically to a type of oil enema that is administered rectally in Ayurveda. It aims to provide internal oleation, promoting the alleviation of dosha imbalances. This study sought to explore Anuvasana Basti as an innovative and effective preparatory process for subsequent cleansing therapies.
11) Anuvasanabasti (Anuvāsanabasti, Anuvasana-basti):
Anuvasana-basti is the term used to describe the oil enema technique in Ayurveda. It allows for the administration of therapeutic oils, providing benefits akin to oral Snehana. In the current study, it was investigated as an alternative method to address patients' compliance issues typically associated with oral fats.
12) Koshtha (Koṣṭha):
Koshtha refers to an individual's bowel or digestive tract type based on their Ayurveda constitution. The study categorized patients according to their Koshtha, which influenced the duration and symptoms of proper Snehana. Understanding Koshtha helps tailor treatments and predict responses to therapies like Anuvasana Basti.
13) Pitta (Pītta, Piṭṭā):
Pitta is one of the three doshas associated with metabolic processes, digestion, and transformation. In the study, patients with Pitta imbalances required careful evaluation regarding their treatment approach. Recognizing Pitta's role is crucial in Ayurvedic practices, especially before detoxification processes like Vamana or Virechana.
14) Kapha:
Kapha is one of the three doshas representing the elements of earth and water. It governs structure, immunity, and lubrication within the body. As patients exhibit symptoms related to Kapha imbalances, such as heaviness and stickiness, understanding its balance is essential in guiding treatment strategies like Anuvasana Basti.
15) Table:
The table in the study presents structured data regarding patient demographics, symptoms, and outcomes. It allows for a clear comparison of findings, enhances data interpretation, and supports the assessment of Basti as an alternative to traditional Snehana processes. Organized tables are critical for summarizing clinical research results effectively.
16) Pune:
Pune is the location where the study was conducted and where Agasti Pharmaceuticals, the supplier of the sesame oil and specially designed Basti pouches, is based. The setting plays a significant role in the study's organization and execution, as well as the collaboration between researchers and local pharmaceutical support.
17) Diet:
Diet refers to the nutritional intake recommended for patients undergoing Ayurvedic treatments. In this study, specific dietary guidelines were employed to enhance the Snehana process and support detoxification. Understanding the interaction between diet and treatments is paramount for optimizing patient outcomes in Ayurvedic practices.
18) Drug:
In the context of this study, 'drug' refers to the therapeutic agents or substances used in Ayurvedic treatments. The Anuvasana Basti utilizes sesame oil as the primary drug for achieving proper Snehana. Different routes of administration, like Anuvasana, highlight the importance of understanding pharmacokinetics in Ayurveda.
19) Jatharagni (Jathara-agni, Jaṭharāgni):
Jatharagni is the digestive fire responsible for the physiological process of digestion and metabolism in Ayurveda. It plays an integral role in transforming ingested food into energy. While investigating Snehana, its importance lies in understanding how Basti interacts with this fire for effective gastrointestinal health.
20) Snigdha (Snigdhā):
Snigdha refers to the property of being unctuous or oily, which is crucial in achieving Snehana. The study emphasizes its role in identifying signs of proper oleation via Anuvasana Basti. Recognizing Snigdha's relevance aids in Ayurveda's holistic approach to achieving balance and effective therapy delivery.
21) Disease:
Disease represents an imbalance or disruption in the body's normal functioning. In this study, patients presented various conditions requiring detoxification. Understanding disease causation within the framework of doshas enables tailored treatment strategies in Ayurveda, directly influencing the necessity and effectiveness of preparations like Anuvasana Basti.
22) Agasti (Agastī, Āgastī):
Agasti refers to Agasti Pharmaceuticals, a key collaborator in the study supplying the sesame oil and Basti pouches. Their involvement illustrates the combined effort of pharmaceutical expertise and traditional Ayurvedic practices, showcasing the importance of such partnerships in advancing research and clinical applications.
23) Sneha:
Sneha means unctuousness or oleation in Ayurveda, representing the therapeutic use of oily substances for promoting health. It is essential for preparation of patients undergoing Shodhana therapies. The study examined how different forms of Sneha, including Anuvasana Basti, influence patient comfort and treatment compliance.
24) Bahu (Bāhu):
Bahu refers to abundance or excess, often used in the context of dosha imbalances, such as bahudosha. In the study, understanding bahu Kapha or other dosha conditions aids in determining the appropriateness of using Anuvasana Basti for alleviating symptoms and preparing patients for cleansing therapies.
25) Sign:
In this context, 'sign' denotes the observable symptoms or indicators of proper Snehana. The study relied on monitoring these signs to evaluate the efficacy of Anuvasana Basti. Recognizing these signs is fundamental in Ayurveda for assessing treatment success and ensuring patient safety throughout therapeutic processes.
26) Fire:
Fire symbolizes the vital energy associated with digestion and metabolism in Ayurveda, specifically represented by Jatharagni. Understanding its dynamics is essential in conditions affecting doshas and developing appropriate treatments like Basti administration, guiding practitioners to optimize therapeutic interventions based on each patient's digestive state.
27) Krurakoshtha (Krūrakoṣṭha, Krura-koshtha):
Krura-koshtha denotes a type of digestion characterized by infrequent or hard bowel movements. The study noticed different responses to Snehana procedures based on Koshtha types, specifically observing longer durations for Krura than for mrudu koshtha. Understanding Koshtha is vital for personalized Ayurvedic treatment strategies and expectations.
28) Observation:
Observation plays a critical role in clinical studies for identifying symptoms and treatment responses. In this study, careful observation of patients' reactions to Anuvasana Basti allowed researchers to draw conclusions about its efficacy as an alternative method for achieving desired Snehana.
29) Utklishta (Utkliṣṭa, Ut-klishta):
Utklishta refers to a disturbed state of doshas that may manifest as physical or emotional symptoms. Observing utklishta dosha in patients helps guide treatment selection. Utilizing Anuvasana Basti aims to alleviate these disturbances effectively, demonstrating the importance of understanding dosha dynamics within Ayurveda.
30) Ayurveda (Āyurveda, Ayus-veda):
Ayurveda is an ancient holistic medical system that emphasizes balance among body, mind, and spirit. It encompasses various treatment modalities, including detoxification protocols like Snehana and Shodhana. The study is rooted in Ayurvedic principles, seeking to enhance patient care by exploring innovative alternatives for traditional therapeutic practices.
31) Avastha (Avasthā):
Avastha indicates the condition or state of doshas within the body, essential for diagnosing health issues. Monitoring avastha helps practitioners understand the nuances of patients' balance and the appropriateness of treatments like Anuvasana Basti for achieving effective Snehana before further detoxification.
32) Mamsa (Maṃsa, Māṃsa, Mamsha):
Mamsa refers to muscle tissue in Ayurveda, considered significant in bodily structure and strength. Its relevance in the study stems from understanding how Basti, administered rectally, can impact tissues and how treatments influence various dhatus, including Mamsa, contributing to overall health.
33) Ahara (Āhāra, Āhara):
Ahara means food or diet in Ayurveda, emphasizing its importance in health and disease management. The study considered dietary recommendations for patients undergoing Snehana, recognizing that appropriate Ahara is critical for optimizing the effects of treatments like Anuvasana Basti on the body's dosha balance.
34) Krura (Krūra, Krūrā):
Krura denotes harshness or severity, often associated with aspects of the body and mind that may reflect dosha imbalances or poor physiological function. In this study, patients with Krura Koshtha responses to treatments illustrate how symptoms can guide practitioners in tailoring therapies effectively.
35) Dhatu (Dhātu):
Dhatu refers to the seven basic tissues of the body in Ayurveda, impacting overall health and vitality. The study's outcome considerations included its effects across various dhatus, demonstrating how treatments like Anuvasana Basti can influence these fundamental bodily building blocks in achieving Snehana.
36) Water:
Water serves as a vital medium for physiological functions and is crucial for proper digestion and elimination in Ayurveda. The role of hydration is essential for patients undergoing treatments like Anuvasana Basti, which aims to enhance the body's ability to absorb and process medicated oils effectively.
37) Agni:
Agni symbolizes the digestive fire essential for metabolic functions according to Ayurveda. It plays a crucial role in determining how well food is digested, absorbed, and transformed into energy. The study links Agni to understanding patients’ responses to treatments like Anuvasana Basti.
38) Rasa (Rasā, Rasha):
Rasa refers to the essence or the first formed tissue in the body responsible for nourishment and sensory experiences. Rasa dhatu plays a significant role in Ayurvedic treatment efficacy. In the study, understanding Rasa helps assess how therapies like Basti influence the body at various levels.
39) Pur (Pūr):
The term 'poor' refers to inadequate patient compliance with traditional oral Snehana due to taste, smell, or quantity. The study investigates how Anuvasana Basti as an alternative may address these challenges, underscoring the need for patient-centered approaches in Ayurvedic treatments.
40) Human body:
The human body is the focal point of Ayurvedic treatments and the study emphasized its intricate balance of doshas and dhatus. Understanding its physiology allows practitioners to tailor holistic treatments like Anuvasana Basti, aiming for overall health and wellness within the context of traditional practices.
41) Pittadosha (Pittadoṣa, Pitta-dosha):
Pitta-dosha is one of the three primary doshas associated with digestion and metabolic processes in Ayurveda. Patients with Pitta imbalances were emphasized in this study to understand the impact of treatments on this dosha's dynamics, especially before undergoing detoxification therapies like Vamana.
42) Mamsadhatu (Māṃsadhātu, Mamsha-dhatu):
Mamsa-dhatu, or muscle tissue, is significant in Ayurvedic thought and treatment. It forms part of the dhatu system influencing overall health, strength, and physical vitality. Understanding its dynamics helps practitioners assess how treatments like Anuvasana Basti may affect bodily functions and guide therapeutic strategies.
43) Kaphapitta (Kapha-pitta):
Kapha-pitta refers to a combined dosha state indicating both mucous and metabolic imbalances. The study emphasizes the need to recognize such combinations in patients as they affect treatment approaches. Tailoring therapy based on dosha combinations is essential for enhancing outcomes in Ayurvedic care.
44) Manjishtha (Mañjiṣṭhā, Māñjiṣṭha, Mamjishtha):
Manjishtha is a medicinal herb known for its anti-inflammatory, blood-purifying, and detoxifying properties in Ayurveda. Its use in processing sesame oil highlights the importance of herb selection for enhanced therapeutic outcomes. Understanding such integrations aids practitioners in delivering effective treatments in Ayurvedic practices.
45) Rasadhatu (Rasadhātu, Rasa-dhatu):
Rasa-dhatu refers to the first tissue in the bodily system essential for nourishment and vitality. The study's reference to various dhatus including Rasa emphasizes the necessity of reaching this tissue for effective therapeutic outcomes, particularly when using Basti to influence overall health.
46) Ashtavidha (Aṣṭavidha, Ashtan-vidha):
Ashtavidha refers to the eight-fold examination method used in Ayurveda to assess a patient's health status. Utilizing this framework helps practitioners derive a comprehensive understanding of a patient prior to intervention, guiding more effective treatment plans as highlighted in the conduct of the study.
47) Green gram:
Green gram is a nutrient-rich food recommended in Ayurvedic diets for its health benefits. Mentioned in the study as a suggested light diet, it reflects the importance of dietary practices that can enhance overall health and support detoxification processes after treatments like Anuvasana Basti.
48) Agnivadha (Agni-vadha):
Agnivadha signifies a state of impaired digestion or decreased metabolic function in Ayurveda. The study highlights its relevance when discussing the timing and appropriateness of therapies like Basti. Recognizing Agnivadha aids practitioners in optimizing treatment timing, contributing to more effective health interventions.
49) Substance:
Substance in this context refers to the therapeutic materials, especially oils and medications, utilized during Ayurvedic treatments. Understanding the properties and actions of various substances, such as sesame oil and rock salt, is fundamental to achieving desired health outcomes evidenced in the study's findings.
50) Cleansing:
Cleansing refers to the process of detoxification and purification in Ayurveda, prominently featured through Shodhana therapies. This study aims at exploring innovative alternatives like Anuvasana Basti to enhance cleansing effectiveness, promoting better patient compliance and therapeutic outcomes during the preparatory process for detoxification.
51) Suffering:
Suffering in this context reflects the discomfort patients experience due to imbalances in doshas or diseases. It emphasizes the importance of addressing patient concerns, particularly those related to Snehana compliance. The study aims to alleviate suffering through more patient-friendly therapeutic approaches like Anuvasana Basti.
52) Upadhatu (Upadhātu):
Upadhatu signifies the secondary tissues or products derived from the main dhatus in Ayurveda, like skin as upadhatu of Mamsa. Understanding the interrelationship between upadhatu and dhatu structures can provide insights into how treatments influence overall health, as explored in the study through Basti administration.
53) Madhyama (Mādhyama):
Madhyama refers to a middle type of Koshtha in Ayurveda, indicating moderate bowel movement characteristics. An understanding of Madhyama is important to assess patient responses to treatments accurately. The study illustrates how Koshtha types influence symptom manifestation and therapy effectiveness, aiding individualized patient care.
54) Prakriti (Prakṛti):
Prakriti refers to an individual's constitution or inherent characteristics in Ayurveda. Recognizing Prakriti is essential for tailoring treatments accordingly. The study acknowledges Prakriti for understanding patient dosha imbalances, guiding effective approaches to administer therapies like Anuvasana Basti, ensuring individualized care.
55) Murchana (Mūrcchana, Mūrchana, Murcchana, Mūrchanā):
Murchana is the process of purification or processing of medicated oils to enhance their therapeutic qualities in Ayurveda. It was crucial in this study as the sesame oil was particularly processed to reduce impurities, illustrating the significance of preparation in achieving effective treatment outcomes.
56) Vitiation (Vitiated):
Vitiated refers to doshas or physiological states disrupted from their normal balance, indicative of disease or discomfort in Ayurveda. The study focused on patients with vitiated doshas to evaluate Anuvasana Basti's possible healing effects on restoring balance, essential in clinical Ayurvedic interventions.
57) Haridra (Hāridra, Haridrā):
Haridra, or turmeric, is known for its anti-inflammatory and medicinal properties in Ayurveda. Its incorporation in the sesame oil processing suggests a focus on enhancing therapeutic efficacy. Understanding such herbal interactions can inform practitioners about benefits derived from various plant-based substances in Ayurvedic treatment.
58) Channel:
Channel in traditional medicine often refers to pathways for substance movement within the body, such as srotas in Ayurveda. The study's involvement of rock salt describes how it assists in oil absorption through various body channels, emphasizing the importance of methods that facilitate effective therapeutic outcomes.
59) Jaggery:
Jaggery is an unrefined sugar widely used in Ayurvedic medicine for its nourishing and detoxifying properties. Its mention in the study highlights its role in dietary recommendations to complement treatments like Vamana, stressing the importance of holistic dietary practices in conjunction with therapeutic interventions.
60) Samata (Samatā, Samāta, Shamata, Śamatā):
Samata signifies balance or equilibrium within the doshas and overall health in Ayurveda. It represents the goal of Ayurvedic treatment to restore harmony. In the study, achieving proper Snehana through alternative methods emphasizes the importance of returning to Samata as a foundational principle of holistic health.
61) Aureus:
Aureus refers to Staphylococcus aureus, a pathogenic bacterium tested in the study. Monitoring for pathogens underscores the safety aspect of using medicated oils in treatments. Understanding potential microbial implications is vital for ensuring patients receive safe and effective therapeutic interventions without complications.
62) Nausea:
Nausea is an uncomfortable sensation often associated with digestive disturbances or therapeutic processes. In the study, patients reported nausea as a symptom of Utklesha following Basti administration, indicating the importance of monitoring such reactions to evaluate therapy efficacy and guide future treatment modifications.
63) Vahni:
Vahni refers to a type of digestive fire that assists in absorption and transformation of substances within the body. Recognizing the role of Vahni is crucial in understanding how treatments like Basti function, emphasizing the need for an intact digestive system to achieve effective therapeutic outcomes.
64) Guru:
Guru means heavy or substantial in Ayurvedic terms, often describing substances that have a profound effect on the body. The study utilizes sesame oil, described as Guru, as part of Anuvasana Basti, showcasing the relationship between substance properties and therapeutic outcomes concerning patient dosha imbalances.
65) Vata (Vāṭa, Vaṭa, Vāta, Vaṭā):
Vata is one of the three doshas responsible for movement and physiological functions in the body. Patients exhibiting Vata imbalances were evaluated for their response to treatments like Anuvasana Basti. Understanding Vata dynamics is critical for practitioners aiming to restore balance and promote health through Ayurveda.
66) Kadu (Kaḍū, Kādū):
Kadu refers to bitterness, one of the six tastes in Ayurveda. Bitter tastes are generally associated with detoxifying effects on the body. The study takes into account taste preferences and relates them to patient compliance with medicated fats, thereby impacting treatment efficacy in Snehana procedures.
67) Food:
Food is a fundamental aspect of Ayurvedic medicine, influencing health, disease, and treatment outcomes. The study emphasizes the significance of dietary practices alongside therapies like Anuvasana Basti, asserting that appropriate Ahara supports the process of detoxification and enhances overall efficacy during treatment.
68) Tree:
The tree analogy in Ayurveda symbolizes growth, nourishment, and interconnectedness within health. It reflects how nutrients reach various body parts from root to fruit. In the context of treatments, it emphasizes the holistic approach of restoring health through methods that ensure complete healing throughout the body.
69) Curd:
Curd is a probiotic-rich food element considered beneficial in Ayurvedic diets, particularly for balancing Pitta dosha. This is relevant in the context of preparing patients for detoxification therapies like Vamana, underscoring dietary inclusions that support health influences in conjunction with therapeutic interventions.
70) Soup:
Soup is often recommended as a light and easily digestible food in Ayurveda, especially during detoxification processes. The study suggests incorporating soup of green gram, reflecting an understanding of dietary choices conducive to enhancing patient comfort and supporting healing during medication like Anuvasana Basti.
71) Pose:
Pose can refer to posture during the administration of therapeutic procedures like Basti in Ayurveda. Correct positioning is crucial for ensuring efficacy and comfort during treatment. The study emphasizes the significance of proper patient posture to enhance the therapeutic impact of Anuvasana Basti.
72) Ghi (Ghī, Ghee):
Ghee is clarified butter used in Ayurvedic medicine for its nourishing and healing properties. Although the study focuses on sesame oil for Anuvasana Basti, ghee also plays a significant role in Snehana and other treatments, highlighting various fat sources in Ayurveda and their applications for health.
73) Milk:
Milk is a vital food source in Ayurveda, rich in nutrients and often recommended for balancing various doshas. Its inclusion in diets like the suggestion of curd and jaggery in the study emphasizes the nourishing aspect of dairy products in supporting overall health and aiding therapeutic outcomes.